NPIMap

Organization Active NPI

Holistic Mothering LLC

  • Lactation Consultant (Non-RN)
  • Annandale, VA
National Provider Identifier
1831447176
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11194842 Issued in VA
Legal business name
HOLISTIC MOTHERING LLC
Practice address
3931 Lincolnshire St
Annandale, VA 22003-2519
Phone
(703) 854-1900
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joanna Bosik Eddy, M.A., IBCLCNPI 1821347931
Title
Lactation Consultant
Phone
(703) 854-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X 11194842 VA Primary

Addresses

Primary practice location

3931 Lincolnshire St
Annandale, VA 22003-2519

Mailing address

3931 Lincolnshire St
Annandale, VA 22003-2519
Phone (703) 854-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1831447176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 LINCOLNSHIRE ST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032519",
            "telephone_number": "703-854-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 LINCOLNSHIRE ST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032519",
            "telephone_number": "703-854-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MOTHERING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "BOSIK",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "703-854-1900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "11194842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.